Lower face and necklift 16 months ago..Please help. My neck, chin and face are a mess. (Photos)

I seems that the skin has wrapped itself very tightly to the underlying facial muscles. Have your surgeon consider injecting dilute kenalog along with massages to see if the scaring can be broken or minimized. 

I am sorry you are experiencing such significant post operative discomfort.  It appears that you have some issues with your skin adhering very tightly to the underlying muscles of the neck and face.  I am not certain that something was not put into your neck in the surgeon's attempt to create a dramatic chin to neck transition.  I do not now of any non surgical intervention that is likely going to remedy your current situation.  I would be extremely cautious in having revision face and neck surgery but given the current state, lysis of some of the scarring and adhesions that you have along your neck and sub mental region may relieve you of the choking sensation and spasms you are currently experiencing.  

So sorry to hear about your problems. Unfortunately, I can't think of any non-surgical way to improve your outcome. You may want to consider revision surgery. See someone with extensive experience doing revision facelifts.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

I'm sorry you are having such trouble after facelift surgery.   Its difficult to comment on your case without knowing what was encountered by your surgeon and what challenges they may have faced.  It appears as if you have persistent fat and subcutaneous scar tissue resulting in a less than optimal outcome.  You also look as if you may have divergence of your platysma muscle in the midline.  A revision procedure will be needed.  Likely with a repeat lift, fat redistribution and platysma muscle plication you can improve your result.  Best to speak to your surgeon and possibly seek a second opinion before you proceed with another operation.

Thank you for your question and photos. It appears that you have some irregularity and scar tissue that has distorted the contour of your cheek and under your chin. It is difficult to say what it is from - your surgeon knows exactly what they did during the procedure and what the skin was like preoperatively. 

I would visit with your surgeon to review these issues and get their input. At this point you should be well healed and the results will be generally stable. 

Good luck,
Christopher Chang, MD
Washington DC, Maryland, and Virginia

You seem to have combination of residual fat with scar tissue and suboptimal outcome from the previous surgery. Ideally, you should try to work with your previous surgeon. However, if you are not making progress a second opinion from someone who has sufficient experience with the face and neck surgery could help both of you.

Sorry to read that you are disappointed with the results of surgery.  Unfortunately there is no non-surgical way to address your concerns.  Surgically your options are also limited.   You should discuss revision options with your surgeon.

 Hi, I'm sorry that you are having these issues 16 months following some type of facelift.  The photos seem to show an inordinate amount of tissue stiffness, with other areas of either swelling or excess fat.  It would be best to have some further information about what was done during your face and neck lift.  Was any type of suspension suture used across the neck?  This could explain the indentation under the chin and the tightness across the neck.  In any case, the tissues appear to be very much still in the healing stages which is quite a long recovery following even the more aggressive, invasive type facelifts. 
 There are things that you can do in the short term and some that can be contemplated in the long term.  You can use a dermal filler to shape your cheeks, filling any indentations etc.  Making them more shapely will soften and feminize the entire face.
 In the long term, severing a trans neck suspension suture if it was used in the original facelift, can be done to release the neck tissues and eliminating the feeling of "strangulation" caused by these types of suspension sutures.  The excess fat can be reduced and the neck pleat softened once the tissue is somewhat soft again.  Looking at these photos, I'd guess somewhere between 6 - 12 months from now.  
 Finally, this is a complicated case, as you can imagine and one that you really should be seen and evaluated by an experienced facelift surgeon in person so the tissues can be properly evaluated.
I do hope this helps and offers you some small piece of mind.